Interpretation as Hypothesis

J Am Psychoanal Assoc. 2023 Dec;71(6):1063-1084. doi: 10.1177/00030651241234309.

Abstract

Two distinct spaces can be seen as operating in a session-a private one in the analyst's mind, where formulations take shape, and one shared between patient and analyst, in which interpretations are offered. By maintaining a focus on the here and now in the latter space, taking care to protect it from intrusions from the analyst's theory except as hypotheses (in the form of interpretations derived from those formulations) aimed at eliciting unconscious responses that further the analytic inquiry, a basis for analytic work is established that aligns with ordinary scientific processes: theory is generated in the mind of the researcher, and hypotheses derived from it are tested systematically in a laboratory setting. Self-understanding that develops out of such an arrangement can then be seen as based on evidence, minimizing the role of suggestion. This line of thinking is illustrated with excerpts from the beginning of the analysis of a depressed patient. In developing areas of theory, when reliable evidence is particularly important, this way of working holds promise. In this case evidence was systematically gathered that led to the formulation of a model of internal racism.

Keywords: countertransference; depression; evenly suspended attention; free association; hypothesis; internal racism; interpretation; mourning; scientific method; transference.

MeSH terms

  • Countertransference
  • Humans
  • Psychoanalytic Interpretation
  • Psychoanalytic Therapy*